Facility Evaluation Report

On 1/22/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA initially met with Administrator, Angelita Dayoan (AD), and stated the purpose of the visit.

Overview : Facility is a one-story house located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, all 6 may be non-ambulatory. Facility has a hospice waiver granted for residents. Facility does not have clearance for bedridden residents. Present upon arrival were 6 residents in care with 2 staff on duty (AD and S1)

Physical Inspection : Areas inspected include, but not limited to, the kitchen, dining, resident units/bedrooms, resident bathrooms, common areas and outdoor areas.

LPA inspected 6 of 6 resident bedrooms and 3 of 3 bathrooms. Hot water temperature was taken in 1 of 3 bathrooms and was measured at 119 degrees Fahrenheit. Room temperature was maintained at 73 degrees Fahrenheit. Fire extinguishers were observed. One sample was last inspected on 12/19/25. Centrally stored medications, toxins, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. Magnetic keys were observed to be accessible, and advisory was provided to staff to keep them inaccessible to residents who are at risk if they have direct access to dangerous items.

In the kitchen area, LPA observed at least seven-day non-perishable and two-day perishable food supplies. Other non-perishable food items were in the garage. Kitchen refrigerator and freezer were in good working condition at this time. Additional refrigerator and freezers for food items stored in the garage. Advisory was provided to place thermometers inside the refrigerators and freezers to monitor temperature.